
Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder that affects people of child-bearing age. While there is no standard PCOS diet, making dietary and lifestyle changes can help manage symptoms and reduce the risk of associated health concerns. This includes eating whole, natural foods, limiting sugar and refined carbohydrates, and increasing physical activity.
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The Mediterranean diet
- Omega-3 rich fish, such as salmon, baked or broiled
- Non-starchy vegetables such as leafy greens (spinach, kale, escarole, endive, lettuce, etc.), tomatoes, mushrooms, peppers, broccoli, cauliflower, snow peas, celery, and fennel
- Whole grains, such as brown rice, barley, sorghum, and whole-grain bread and pasta. These help to avoid spikes in blood sugar
- Whole fruit for dessert. The fibre content in whole fruit helps you feel full, aids digestion, and slows the absorption of sugar into the bloodstream
- Healthy fats like olive oil, avocados, nuts, and seeds, which can improve insulin sensitivity
- Lean protein and low-fat dairy
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Anti-inflammatory foods
While there is no standard diet for polycystic ovary syndrome (PCOS), an anti-inflammatory diet may help manage some symptoms. Research shows that women with PCOS tend to have higher levels of inflammation, which can be caused by insulin resistance or weight gain.
An anti-inflammatory diet can improve metabolism and reproduction in women with PCOS. This can be achieved by eliminating saturated fats, processed meats, and refined sugar, which are known to cause inflammation. The Mediterranean diet is commonly recommended by dietitians as it offers a wide variety of foods and is easy to follow as a lifestyle approach. It is designed to be low-calorie, low-fat, low-saturated fat, low-glycemic index, and moderate-to-high fiber.
Other anti-inflammatory diets include the DASH diet, which promotes fresh, whole foods and discourages highly processed foods or those high in unhealthy fats and added sugar. A hypocaloric low glycemic load (GL) diet with anti-inflammatory properties is also recommended, which is low in omega-6 fatty acids and rich in omega-3 fatty acids.
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Whole, natural foods
Dr Mahalingaiah recommends whole, natural foods that fuel the body over longer periods and avoid spikes in glucose and energy. These include foods that contain more protein and fibre, which slow the release of glucose into the bloodstream.
The Mediterranean diet is often recommended for PCOS as it eliminates saturated fats, processed meats and refined sugar, and includes omega-3-rich fish, such as salmon, and non-starchy vegetables such as leafy greens (spinach, kale, lettuce, etc.), tomatoes, mushrooms, peppers, broccoli, cauliflower, celery and fennel. Whole grains such as brown rice, barley and sorghum are also recommended, as are whole fruits for dessert. The fibre in whole fruit aids digestion and slows the absorption of sugar into the bloodstream.
Other recommended whole, natural foods include:
- Beans and legumes as a source of protein
- Whole grain products such as 100% whole grain or whole wheat bread, pasta and rice
- Nuts and seeds such as walnuts, pistachios and sunflower seeds
- Fruits such as berries, oranges, grapefruit, lemons, peaches, tomatoes and cherries
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Small, frequent meals
The PCOS diet should include whole, natural foods that fuel your body over longer periods and avoid spikes in glucose and energy. This means eating foods that are high in protein and fibre, which slow the release of glucose into the bloodstream. Try to limit foods that cause spikes in blood glucose, such as packaged, processed foods like chips, as well as sugary drinks like soda and juice. Instead, opt for whole grains such as brown rice, barley, sorghum, and oatmeal, which can help to avoid spikes in blood sugar. Whole fruit for dessert is a good choice, as the fibre content helps you feel full and slows the absorption of sugar into the bloodstream.
It is also important to manage your intake of carbohydrates and sugars. While these foods can provide a quick energy boost, the sugar enters your bloodstream very quickly, and if you have insulin resistance, your body may not be able to process this blood glucose effectively, leading to a higher production of insulin. Try to pair carbs and sugars with protein and fibre to slow the release of glucose into your bloodstream.
A Mediterranean diet can be a good choice for people with PCOS, as it eliminates saturated fats, processed meats and refined sugar, which can cause inflammation. This diet includes omega-3-rich fish, such as salmon, as well as non-starchy vegetables like leafy greens, tomatoes, mushrooms, peppers, broccoli, cauliflower, and celery.
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Lifestyle changes
Diet
The Mediterranean diet is often recommended for PCOS as it eliminates saturated fats, processed meats, and refined sugar, addressing the inflammation associated with the condition. This diet includes:
- Omega-3 rich fish, such as salmon
- Non-starchy vegetables like leafy greens (spinach, kale, lettuce, etc.), tomatoes, mushrooms, broccoli, and cauliflower
- Whole grains such as brown rice, barley, sorghum, and whole-grain breads and pastas
- Whole fruit for dessert, as the fiber content helps with digestion and slows the absorption of sugar into the bloodstream
- Healthy fats like olive oil, nuts, and seeds
- Low-fat dairy products in small quantities
The DASH diet is also suggested for PCOS as it balances fiber-rich foods, healthy fats, and foods rich in antioxidants. This diet includes:
- Whole grains such as oatmeal, brown rice, and quinoa
- Non-starchy vegetables like broccoli, green beans, eggplant, and leafy greens
- Legumes and pulses such as black beans, kidney beans, and lentils
- Fish and shellfish
- Nuts and seeds
In general, it is recommended to reduce sugar intake, limit processed foods, and opt for whole, natural, and unprocessed foods.
Physical Activity
Increasing physical activity, even through small changes like walking for 10-15 minutes a day, can help improve PCOS symptoms. Other suggestions include light yoga, biking, or swimming. Combining physical activity with dietary measures can be especially beneficial for managing PCOS.
Sleep and Stress Management
Getting enough sleep and managing stress through self-care practices are important components of a holistic approach to PCOS. Techniques like yoga, meditation, and therapy can help calm the mind and reduce stress, which in turn can improve PCOS symptoms.
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Frequently asked questions
There is no standard diet for PCOS, but a PCOS-friendly diet is likely to be one that is anti-inflammatory and low in sugar and refined carbohydrates. Doctors often recommend the DASH diet or the Mediterranean diet to reduce the risk of heart disease and manage PCOS.
The DASH diet is a dietary approach to stop hypertension (high blood pressure) and involves eating whole plant-based foods, balancing fibre-rich foods, healthy fats, and foods rich in antioxidants.
The Mediterranean diet eliminates saturated fats, processed meats, and refined sugar, and recommends low quantities of processed, refined fats and high quantities of healthy fats, like olive oil, nuts, and seeds.
A PCOS diet contains non-starchy fruits and vegetables with a low glycemic index, such as tomatoes, broccoli, celery, cucumber, cabbage, and mushrooms. It also includes whole grains, such as brown rice, barley, and sorghum, and whole fruits for dessert.
Sugary beverages, processed snacks, fried foods, white rice, excessive red meat, processed meats, and foods that tend to spike blood glucose, such as packaged, processed foods.











































